DAVID E TUPPER PHD, LP
Clinical Neuropsychologist
Minneapolis, Minnesota
Provider NPI: 1336185008
Provider Information:DAVID E TUPPER PHD, LP
Gender: M
Not Sole Proprietor
Practice Location:
701 PARK AVE MINNEAPOLIS, MN 55415 US
Tel: 612-873-2599 Fax: 612-904-4303
Business Mailing Address:
701 PARK AVE MINNEAPOLIS, MN 55415 US
Tel: 612-873-6005 Fax: 612-630-8242
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | MN | LP2193 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BEHAVIORAL HEALTHCARE | 152299 | MN | 01 |
BLUE CROSS BLUE SHIELD | 37A22TU | MN | 01 |
UNITED BEHAVIORAL HEALTH | 61-56994 | MN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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